Abstract
OBJECTIVES: The purpose of this study was to identify individual characteristics associated with types and frequency of milk consumption in older American adults. METHODS: A national probability-based sample (response rate = 91%) completed a telephone survey. Generalized logit and cumulative logit analyses were used to identify predictors of and barriers to fluid milk consumption in 494 elderly people. RESULTS: The likelihood of drinking skim or 1% milk rather than whole milk increased with nutrition knowledge, income, trying to reduce cholesterol intake, and being female (P < .05). Frequency of milk consumption was higher with nutrition knowledge, frequency of milk consumption during adolescence, and following a diabetic diet but was lower with milk intolerance. CONCLUSIONS: The present results could be used to develop intervention strategies for improving milk consumption rates among older adults. These strategies might focus on increasing elderly people's awareness of milk intolerance and lactose-reduced milk products and their concern about cholesterol. The relationship between current and adolescent milk consumption suggests that intervention strategies should begin early in life.
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- Bausell R. B. Health-seeking behavior among the elderly. Gerontologist. 1986 Oct;26(5):556–559. doi: 10.1093/geront/26.5.556. [DOI] [PubMed] [Google Scholar]
- Chapman K. M., Chan M. W., Clark C. D. Factors influencing dairy calcium intake in women. J Am Coll Nutr. 1995 Aug;14(4):336–340. doi: 10.1080/07315724.1995.10718518. [DOI] [PubMed] [Google Scholar]
- Cronin F. J., Krebs-Smith S. M., Wyse B. W., Light L. Characterizing food usage by demographic variables. J Am Diet Assoc. 1982 Dec;81(6):661–673. [PubMed] [Google Scholar]
- Cumming R. G. Calcium intake and bone mass: a quantitative review of the evidence. Calcif Tissue Int. 1990 Oct;47(4):194–201. doi: 10.1007/BF02555919. [DOI] [PubMed] [Google Scholar]
- Elbon S. M., Johnson M. A., Fischer J. G. Developing an instrument to measure the influence of knowledge, behaviors, and attitudes on milk consumption patterns in older participants of a community wellness group: a pilot study. J Nutr Elder. 1996;15(4):21–37. doi: 10.1300/J052v15n04_03. [DOI] [PubMed] [Google Scholar]
- Fischer J. G., Johnson M. A., Poon L. W., Martin P. Dairy product intake of the oldest old. J Am Diet Assoc. 1995 Aug;95(8):918–921. doi: 10.1016/s0002-8223(95)00254-5. [DOI] [PubMed] [Google Scholar]
- Grotkowski M. L., Sims L. S. Nutritional knowledge, attitudes, and dietary practices of the elderly. J Am Diet Assoc. 1978 May;72(5):499–506. [PubMed] [Google Scholar]
- Johnson A. O., Semenya J. G., Buchowski M. S., Enwonwu C. O., Scrimshaw N. S. Correlation of lactose maldigestion, lactose intolerance, and milk intolerance. Am J Clin Nutr. 1993 Mar;57(3):399–401. doi: 10.1093/ajcn/57.3.399. [DOI] [PubMed] [Google Scholar]
- Kim Y. I., Mason J. B. Nutrition chemoprevention of gastrointestinal cancers: a critical review. Nutr Rev. 1996 Sep;54(9):259–279. doi: 10.1111/j.1753-4887.1996.tb03947.x. [DOI] [PubMed] [Google Scholar]
- Longnecker M. P., Chen M. J., Caan B. Block vs Willett: a debate on the validity of food frequency questionnaires. J Am Diet Assoc. 1994 Jan;94(1):16–19. doi: 10.1016/0002-8223(94)92022-2. [DOI] [PubMed] [Google Scholar]
- Rosado J. L., Gonzalez C., Valencia M. E., López P., Palma M., López B., Mejía L., Báez M. C. Lactose maldigestion and milk intolerance: a study in rural and urban Mexico using physiological doses of milk. J Nutr. 1994 Jul;124(7):1052–1059. doi: 10.1093/jn/124.7.1052. [DOI] [PubMed] [Google Scholar]
- Sandler R. B., Slemenda C. W., LaPorte R. E., Cauley J. A., Schramm M. M., Barresi M. L., Kriska A. M. Postmenopausal bone density and milk consumption in childhood and adolescence. Am J Clin Nutr. 1985 Aug;42(2):270–274. doi: 10.1093/ajcn/42.2.270. [DOI] [PubMed] [Google Scholar]
- Sevenhuysen G. P., Fieldhouse P., Young T. K., McNeil C., Gelskey D. E., McDonald S. M. The Manitoba Nutrition Survey: fat consumption data. Can J Public Health. 1993 Nov-Dec;84(6):389–393. [PubMed] [Google Scholar]
- Shepherd R., Stockley L. Nutrition knowledge, attitudes, and fat consumption. J Am Diet Assoc. 1987 May;87(5):615–619. [PubMed] [Google Scholar]
- Soroko S., Holbrook T. L., Edelstein S., Barrett-Connor E. Lifetime milk consumption and bone mineral density in older women. Am J Public Health. 1994 Aug;84(8):1319–1322. doi: 10.2105/ajph.84.8.1319. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Suarez F., Levitt M. D. Abdominal symptoms and lactose: the discrepancy between patients' claims and the results of blinded trials. Am J Clin Nutr. 1996 Aug;64(2):251–252. doi: 10.1093/ajcn/64.2.251. [DOI] [PubMed] [Google Scholar]
- Thomas S. E., Kendrick O. W., Eddy J. M. Modification of a Nutritional Questionnaire for Older Adults and the ability of its knowledge and attitude evaluations to predict dietary adequacy. J Nutr Elder. 1990;9(4):35–63. doi: 10.1300/J052v09n04_04. [DOI] [PubMed] [Google Scholar]
- Vesa T. H., Korpela R. A., Sahi T. Tolerance to small amounts of lactose in lactose maldigesters. Am J Clin Nutr. 1996 Aug;64(2):197–201. doi: 10.1093/ajcn/64.2.197. [DOI] [PubMed] [Google Scholar]